HomeMy WebLinkAbout2006-HVAC (furnace) (1) CITY OF OSHKOSH No 121926
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 507 REICHOW ST Owner JASON D /DAWN M NORKOFSKI Create Date 10/06/2006
Contractor MARX MECHANICAL Category 500 - Residential- Heating & Ventilating Plan
Fuel U Gas u Oil Li Electric Li Solar u Solid
System J New I Q Replace ❑ Other
4 Forced Air J Radiant J Steam u A/C U Vent
IJ Electric L Hot Water ] Suppl. Li Con. Burner
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable 1
Heat Loss [() As Approved 0 Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value 70,000
Use /Nature SFR/Replace furnace, 3" chimney liner. Owner providing electrical contractor.
of Work
Fees: Valuation $3,200.00 Plan Approval $0.00 Permit Fee Paid $58.00
Issued By: try Date 10/06/2006
El Permit Voided I Parcel Id # 0611350000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 4535 STATE ROAD 91 OSHKOSH WI 54904 -6304 Telephone Number 920 - 235 -6510
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box l 130
Oshkosh, WI 54903 -1 l30 r
Phone (920) 236-5050 •
Fax (920) 236 -5084 Of —rf
ON 7H1 vrrar■
HVAC PERMIT APPLICATION
All information after bold categories must. be provided.
Incomplete applications will not be processed.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 -1128. Commencing work without permit(s) will result it fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If Vou are a contractor parlicjpatinR in the Permit fee Account Svstem and have adequate hinds, cheek here
if you want ihishrocessed through your account n
DATE 10 S
JOB ADDRESS 601 KE 1 e kcvi
OWNER Or 00V -1_.0 V-
CONTRACTOR MARX MECHANICAL INC
CHECK El ALL APPLICABLE
USE CATEGORY
VISingle Family ❑Duplex DMulti- Family ❑Rental. ❑Commercial Dlridustrial
FUEL '1Gas DElectric ❑Solid SYSTEM DNew Ig,Replace
DOil ❑Solar DOther
TYPE
r;gForced Air DRadiant DSteam DA/C DVent DElectric ❑Hot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo 181Yes - LINER SIZE '3 & MANUFACTURER FLEX.- L
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A DChiimney B ®Direct Vent DOther
HEAT LOSS DAs Approved7Existing DNot Applicable
BTU RATE DAs Per Plan ❑Variable ®Other Value 10000
DESCRIPTION OF ALL WORK BEING DONE FLPPO..z The I - 1 ip
L,-'1\1i\1ox MODEL. &lot - 3e6 -of10 '1000 6 3 \tlpUr
if elA
4
1 al �a
VALUE (Including labor and materials) $i 3 O ! f n
•
ELECTRICAL CONTRACTOR &di C�V�N�12 ����
D For applicable projects, an Electric Installation Verification form, signed by the ®l triat aietor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
DEVELOPMENT
10 /04